Provider Demographics
NPI:1639741739
Name:STOKLEY, JAMIE (HOME CARE PROVIDER)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:
Last Name:STOKLEY
Suffix:
Gender:F
Credentials:HOME CARE PROVIDER
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:STOKLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:401 CHESTNUT ST STE H
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-4056
Mailing Address - Country:US
Mailing Address - Phone:910-447-9737
Mailing Address - Fax:
Practice Address - Street 1:401 CHESTNUT ST STE H
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4056
Practice Address - Country:US
Practice Address - Phone:910-447-9737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC291334376K00000X
NC226147163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No376K00000XNursing Service Related ProvidersNurse's Aide